Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Middletown, OH: $51.46

Avg. Paid

$51.46

Range

$0.48 – $113.78

Total Claims

490,917

Providers

160

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Middletown, OH

Provider	Avg. Paid	Claims	Patients
John Wesley Greene 1036 S Verity Pkwy	$23.19	51,248	24,514
Irfan Dahar 6730 Roosevelt Ave Ste 301	$94.98	29,286	23,880
Rokeya Tasnin 4464 S Dixie Hwy	$97.23	28,829	24,595
Rachael Marie Smith 1036 S Verity Pkwy	$73.36	27,063	14,632
Suvarnamala Pushkaran 1036 S Verity Pkwy	$23.77	25,141	13,197
Daniel Richard Weis 1131 Manchester Ave	$81.27	17,249	15,702
Emad Alshami 1060 Summit Drive	$57.04	15,889	14,095
Mukarram Ali Khan 200 Medical Center Dr Ste 325	$42.41	12,599	11,381
Butler County Community Health Consortium, Inc. 1036 S Verity Pkwy	$2.57	12,048	9,243
Diana E Small 331 N Breiel Blvd	$43.80	11,343	10,334
Heidi Jane Krebs 1036 S Verity Pkwy	$21.85	10,285	5,284
Marvin Baula 4464 S Dixie Hwy	$106.33	10,109	8,853
Marcia Jane Adelman 4464 S Dixie Hwy	$102.11	9,029	7,080
Jennifer M Ridge 210 N Breiel Blvd	$46.19	8,847	8,576
Lisa Kaye Mcguire 1036 S Verity Pkwy	$41.78	8,837	6,325
Megan Nichole Ward 601 N Breiel Blvd Unit B	$21.66	8,723	4,140
Erin Sayer 1036 S Verity Pkwy	$22.38	8,703	4,787
Sarah Marie Roberson 160 N Breiel Blvd	$78.79	8,396	7,847
Lisa Whitney Flower 1036 S Verity Pkwy	$28.48	8,347	4,642
Rebecca A Dandoy 331 N Breiel Blvd	$52.10	8,193	7,460
Ujaranne J Onuorah 1036 S Verity Pkwy	$32.74	8,029	4,355
William Alter 6147 State Route 122 Ste 110	$49.52	6,910	6,104
Scott Jason Albright 275 North Breiel Blvd	$49.10	6,879	6,101
James Michael Komer 331 N Breier Road	$44.88	6,645	6,286
Mark W Day 6147 State Route 122 Ste 110	$47.04	6,173	5,404
Kara Carroll 1036 S Verity Pkwy	$25.15	5,905	3,270
Ildiko Maria Sherman 307 Stanley St	$32.71	4,778	2,591
Dennis Min 1537 South Breiel Boulevard	$51.55	4,507	4,271
Percy David Mitchell 1054 Summit Dr	$103.74	4,492	3,860
Kristen Caldwell 6147 State Route 122 Ste 110	$48.21	4,337	3,953
Austin James Williams 6147 State Route 122	$46.70	4,257	3,984
Lisa Adams 3502 Salzman Road	$40.26	4,242	3,872
Alice Amy Onady 4464 S Dixie Hwy	$72.76	3,897	3,600
Rebecca Ayne Moore 231 N Breiel Blvd	$20.96	3,837	1,857
Michelle R Cooley 1036 S Verity Pkwy	$32.65	3,785	2,467
Clifford Quinn Cabansag 4302 Roosevelt Blvd	$108.92	3,517	2,585
Bryan Bowman 1036 S Verity Pkwy	$20.23	3,319	1,457
Ali Usmani 103 Mcknight Dr	$46.25	3,079	2,816
Radhika Rajsheker 501 Atrium Dr Ste 100	$37.54	2,914	2,458
Lavinda Mcauliffe 6730 Roosevelt Ave Ste 201	$54.29	2,873	2,331
Leslie Ellen Hunt 6730 Roosevelt Ave	$103.44	2,870	2,147
Ifeyinwa Onyemaechi Mazeli 231 N Breiel Blvd	$29.77	2,684	1,464
Barry Robertson 136 N Breiel Blvd	$42.46	2,682	2,451
Michael James Griesser 275 N Breiel Blvd	$58.23	2,582	2,240
Nkeiruka Eucharia Okoye 501 Atrium Dr Ste 100	$37.57	2,468	2,080
Mohammad Atiq Khalid 103 Mcknight Dr	$44.34	2,392	2,170
Gary C Brown 103 Mcknight Dr	$43.59	2,203	2,017
Angelina Nicole Holbrook 601 N Breiel Blvd	$31.32	2,165	1,281
Talbert House Health Center 231 N Breiel Blvd	$0.48	2,056	1,761
Britney Kay Regon 519 S Breiel Blvd	$47.69	2,027	1,827

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Middletown, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Middletown, OH is $51.46 per claim, based on 490,917 claims from 160 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Middletown, OH?

There are 160 Medicaid providers offering Office Visit related services in Middletown, OH according to public payment data.

What is the price range for Office Visit in Middletown, OH?

Medicaid reimbursement for Office Visit in Middletown, OH ranges from $0.48 to $113.78 per claim, with an average of $51.46. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Middletown, OH: $51.46

Providers Offering Office Visit in Middletown, OH

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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